Provider Demographics
NPI:1619022837
Name:ELIF TOKCAN MD INC
Entity Type:Organization
Organization Name:ELIF TOKCAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIF
Authorized Official - Middle Name:
Authorized Official - Last Name:TOKCAN ONDUL TALEGON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-788-2175
Mailing Address - Street 1:365 N. PEARSON DR. STE. 5
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257
Mailing Address - Country:US
Mailing Address - Phone:559-788-2175
Mailing Address - Fax:559-788-2227
Practice Address - Street 1:365 N. PEARSON DR. STE. 5
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257
Practice Address - Country:US
Practice Address - Phone:559-788-2175
Practice Address - Fax:559-788-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63262207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A632620Medicaid
CAG62168Medicare UPIN
CAZZZ23352ZMedicare ID - Type Unspecified
CA00A632620Medicaid